"Boss, you are very skilled in emergency first aid." After suturing the heart, Su Yun took a look at the ECG monitor and saw that the ECG was in sinus rhythm. Knowing that the patient had been saved, he felt reassured and joked. Come.
"Put your fingers in and you can feel the pericardium. The pressure is very high and you can't touch the myocardium. The diagnosis is very clear." Zheng Ren took the warm salt water handed over by the little lady, poured it into the chest, returned it, and continued to ask for it.
"It's easy to open the chest in the emergency room and perform heart compressions under direct vision, but most people don't have the courage," Su Yundao said.
This sentence is true.
At that time, in a strict sense, the patient was already dead.
To resuscitate a dead person, it is not an operation like chest cardiac compression that lasts for dozens of minutes, but a very shocking operation in which the chest is opened directly, the pericardial tamponade is cut, and the blood is sprayed directly onto the roof. Generally, The doctor was scared at that time.
Why
Because the patient's chest is in a bacterial environment after returning from rescue, postoperative atelectasis and intrapulmonary infection are minor problems. Myocardial infections are also common.
There are a lot of troubles after surgery.
And we can’t rescue him...
Haha, then congratulations, there is a half chance of encountering a major medical dispute. For doctors who dare to take action, their medical path will most likely end here.
"I didn't think so much at the time." Zheng Ren answered very honestly and plainly.
He didn't think so much, he just focused on saving people.
As for success or failure, try your best.
What is the final result? You can't live up to the white clothes you are wearing.
"But boss, I usually see you wilting and having no temper. Why do you act like a different person when it's time to rescue you?" Su Yun asked.
"No, calm down, there must be nothing wrong. Yanran, double-chamber ventilation." While Zheng Ren was talking to Su Yun, he asked Chu Yanran to open the double-chamber tube to see if there was any break in the lungs.
"Still saying you haven't? In the imperial capital, when you were rescuing Fang Lin, you kicked a doctor. Today, you dare to kick the patient's family members."
"Time is running out. She is holding the flat car and not letting it move. Who will die if she dies?" Zheng Ren replied calmly.
At this moment, the tension and passion during the rescue were gone.
But in retrospect, if it happened again, Zheng Ren would definitely kick him away and kick away the patient's family members who delayed the rescue work.
Good intentions lead to bad deeds, probably similar to this.
"Aren't you worried about medical trouble?" Su Yun asked while using a suction device to remove the saline water that overflowed from the chest cavity.
Observe the salt water in the chest carefully. There are no bubbles coming out.
"I was worried before, but didn't even Xiao Liu say that he had driven away the medical troubles in the First Hospital of the City? Ordinary patients' families are still reasonable. Besides, with Fan Tianshui here, there should be no problem." Zheng Ren observed carefully , and glanced at the bright red system panel in the upper right corner of the field of vision. There was no diagnosis of lung rupture, and then said: "Close the chest."
At the same time, Zheng Ren heard the sound of "ding dong~" the mission was completed.
Emergency mission: Living Dead, Medical Bones completed.
Mission content: Resuscitate cardiac arrest emergency chest stabbing patient.
Mission reward: Emergency first aid skill master-level skill book, 1 gold treasure chest.
Task time: 45 minutes, remaining time 2 hours and 15 minutes.
There are rewards, which is pretty good. Master of emergency first aid... Zheng Renpin smacked his lips, and he still wanted to do surgery.
"This kind of surgery has no technical content at all." Su Yunpin clicked his tongue and complained, "Boss, I thought it was my turn to show off my skills today. Do you want to compete with me for thoracic surgery?"
"Huh? Didn't you sew up the heart?"
"No one saw it." Su Yun said, "When I saw the wound, I knew it was pericardial tamponade. I was ready to cut it open and perform heart compressions under direct vision. I didn't expect that you would even take the thoracic surgery from me. Can you honestly be a general surgeon and interventional doctor?"
"It's too urgent, I don't have time to think about it. Since I know how to do it, I'll do it directly." Zheng Ren smiled and saw Su Yun sucking out the salt water in his chest, and then said: "Prepare antibiotics, cefoperazone, tazolin Batan, 8 sticks, do a skin test first.”
There has been an exposure operation, and infection is necessary. The next step is to make the infection as light as possible.
Warm salt water gauze covered the chest. Seeing that the numbers and waveforms on the monitor were very stable, Zheng Ren completely relaxed.
"Boss, you'd better think about how to explain it to the patient's family first." Su Yun said jokingly.
"There's nothing to explain. The dead have been saved. What else do they want? Go to heaven?" Zheng Ren said with a smile.
The operation was successful, everyone felt relaxed, and the atmosphere in the operating room became joyful.
The circulating nurse starts to perform a skin test on the patient and has to wait for fifteen minutes, so this period of time is really a time when nothing happens.
Fifteen minutes passed by talking and laughing.
The skin test was negative. The circulating nurse opened eight tubes of cefoperazone and tazobactam and poured them into the basin. Xie Yiren handed the basin to Zheng Ren.
After spreading the white antibiotics, Zheng Ren and Su Yun began to close their chests.
It was an extremely simple operation, and the surgical field was spacious and bright. Zheng Ren was also envious of it. The field of vision in thoracic surgery was really good.
He looks handsome!
Leave closed chest drainage and pericardial drainage, suture layer by layer, and close the chest.
Chu Yanran's lungs swelled up, and countless gases came out of the chest bottle.
The general anesthesia was not stopped, and the patient had to be sent to the ICU to stay for one night after the operation. If the condition is stable, the tube will be extubated the next day and transferred back to the emergency ward.
"I'm going to see the patient's family. There are a lot of procedures that need to be completed." Zheng Ren turned around and stepped off the stage, taking off his gloves.
"Boss, can you be a little more humane?" Su Yun wailed, "It's just the two of us. Now that you're gone, do you want me and Miss Yanran to carry you together?"
"I called Fugui'er." Zheng Ren walked out of the operating room.
It's not that Zheng Ren was lazy, because it was the most urgent kind of surgery, so many steps were omitted before this surgery.
Just like Su Yun's crow's mouth said, trouble lies ahead.
He first found his cell phone and called Professor Rudolf Wagner and asked him to come to the operating room to help. Zheng Ren then walked out of the door.
Opening the door, a figure as thick as a mountain appeared in front of you.
Zheng Ren was stunned for a moment, and then saw Fan Tianshui's honest and honest smile.
"Mr. Zheng, how was the operation?" Fan Tianshui asked.
"Very good, the patient will be sent to the ICU." Zheng Ren said, "The patient's family, who are the patient's direct family members?"
A group of people came up.
"Those who can sign and pay, please don't join in the fun. Where is the patient's lover?" Zheng Ren shouted in a good voice.
"Who are you? Go away and watch the fun." Several women supported the patient's lover and came to Zheng Ren.
Her whole body was limp and she couldn't walk at all. The women tried their best to get her in front of Zheng Ren.
Zheng Ren smiled bitterly and said quickly: "Go and help her to the chair."
After struggling for a few minutes, the patient's lover sat on a red hard plastic chair with vacant eyes, waiting for Zheng Ren's final announcement of death.
"Are you the patient's lover?" Zheng Ren asked.
The woman was completely unaware, as if she had not heard Zheng Ren's words.
"Yes, she is. Doctor, how is Lao Hai?" someone next to him asked hurriedly.
"The rescue is successful, and I need to stay in the ICU for a while. If it goes well, I can be transferred out to the general ward tomorrow."
One sentence fell like thunder.